CODER - Medical Records - Certified

HIM Technician/Coder

JOB SUMMARY

Assembles, analyzes, abstracts, and codes medical records. Adheres to current ICD10 and DSM-V requirements and ethical coding standards Reconciles daily readiness report. Enters data into departmental computer system. Files miscellaneous reports. Retrieves records as requested. Answers department telephones. Processes release of information requests. Complies with hospital policies and procedures and state/federal regulations regarding confidentiality of records. Participates in employee orientation and on-the-job training. Participates in Performance Improvement activities – concurrent and retrospective chart reviews and other duties as assigned by the Medical Records Department Director.

DEMONSRATES COMPETENCES IN THE FOLLOWING AREAS:

1. Responsible for accurate coding of all discharged records of the hospital.
2. Adheres to current ICD10 and DSM-V requirements and ethical coding standards.
3. Responds to coding audits in a professional manner.
4. Produces information regarding physician documentation requirements to improve coding practices.
5. Collaborates with business office to ensure coding accuracy.
6. Maintains coding certification(s) in good standing.
7. Participates on corporate conference calls required for coders to attend.
8. Maintains ethical coding practice.
9. Consults physician when clarification is needed in documentation.
10. Assists the department in processing medical records requests.
11. Has a thorough understanding of current coding software (Integrity 360).

Knowledgeable about TJC, CMS, state, and local health information requirements.

REGULATORY REQUIREMENTS:  

Education:     High School diploma required; Associates in Medical Coding preferred.

Licensure/Certification:  Successful completion in an AHIMA or AAPC approved medical coding certification program. Must have  RHIT certification at time of hire. Maintains coding certification(s) in good standing.

Experience:    2-3 years medical records experience preferred. Minimum one year experience ICD- 10-CM procedures and use of DSM V coding procedures required; use of an encoder software product for code assignment preferred.

Knowledge: Working knowledge of medical terminology, ICD-10-CM and DSM V nomenclature. Good organizational skills with the ability to prioritize in a fast-paced environment. Good written and oral communication skills. Computer literacy skills and typing skills required.

Physical Demands

Days/Hours:  Fulltime - Days

• Must be reliable and punctual
• Must be able to exert physical requirements to lift and maneuver objects, medical records, this includes kneeling, bending, reaching, pulling, crouching, and pushing medical records.
• Must be able to sit for prolonged periods of time. Must have the ability to move throughout the facility independently.
• Must know how to gather and analyze data.
• Must be detail oriented and possess superior documentation skills.
• Must demonstrate initiative, accountability, and good judgment.
• Able to work diligently and accurately
• Must maintain a minimum  90% coding accuracy rate.

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance.

Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues exceeding $11 billion in 2019. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune on the Fortune 500; and recognized in Forbes ranking of

America’s Top 500 Public Companies.

Headquartered in King of Prussia, PA, UHS has over 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance

offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal

employment opportunities are available to all applicants and teammates. UHS subsidiaries are

equal opportunity employers and as such, openly support and fully commit to recruitment,

selection, placement, promotion and compensation of individuals without regard to race, color,

religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic

information, national origin, disability status, protected veteran status or any other characteristic

protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to

help prospective candidates by matching skillset and experience with the best possible career

path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class

candidate experience. During the recruitment process, no recruiter or employee will request

financial or personal information (Social Security Number, credit card or bank information, etc.)

from you via email. The recruiters will not email you from a public webmail client like Hotmail,

Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning

UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-

3449.

Salary : $11